Healthcare Provider Details

I. General information

NPI: 1689468613
Provider Name (Legal Business Name): TERESA HOBBS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2025
Last Update Date: 04/07/2025
Certification Date: 04/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

144 SENSAT COVE RD
EGAN LA
70531-3800
US

IV. Provider business mailing address

144 SENSAT COVE RD
EGAN LA
70531-3800
US

V. Phone/Fax

Practice location:
  • Phone: 337-458-0125
  • Fax:
Mailing address:
  • Phone: 337-458-0125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number215811
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: